Provider Demographics
NPI:1417132523
Name:ACCESS MEDIQUIP LLC
Entity type:Organization
Organization Name:ACCESS MEDIQUIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & COO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-985-4850
Mailing Address - Street 1:2724 MOMENTUM PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60689-0001
Mailing Address - Country:US
Mailing Address - Phone:407-774-4850
Mailing Address - Fax:
Practice Address - Street 1:255 PRIMERA BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-268-8400
Practice Address - Fax:407-268-8390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESS MEDIQUIP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-08
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1033223177OtherNPI